| Canon Jade Beissel, MD | |
|
35 W Monroe St, Grenada, MS 38901-5222 | |
| (662) 226-8229 | |
| (662) 226-3300 |
| Full Name | Canon Jade Beissel |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 28 Years |
| Location | 35 W Monroe St, Grenada, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154483394 | NPI | - | NPPES |
| 06050013 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 16518 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rcg Grenada | Grenada, MS | Dialysis facility |
| Rcg Winona | Winona, MS | Dialysis facility |
| Isd Renal Inc | Lexington, MS | Dialysis facility |
| University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
| Greenwood Leflore Hospital | Greenwood, MS | Hospital |
| Tallahatchie Critical Access Hospital | Charleston, MS | Hospital |
| Tyler Holmes Memorial Hospital Cah | Winona, MS | Hospital |
| Holmes County Hospital And Clinics | Lexington, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Delta Hills Nephrology Associates | 0941248579 | 4 |
| Tallahatchie General Hospital | 1052208097 | 19 |
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 846 |
| Grenada Physician Services, Llc | 4284965773 | 15 |
| Delta Hills Nephrology Clinics Pllc | 4486098555 | 4 |
| Entity Name | Tallahatchie General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679733497 PECOS PAC ID: 1052208097 Enrollment ID: O20040303000646 |
| Entity Name | Delta Hills Nephrology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841222437 PECOS PAC ID: 0941248579 Enrollment ID: O20050422000819 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Entity Name | Grenada Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932762721 PECOS PAC ID: 4284965773 Enrollment ID: O20191015001194 |
| Entity Name | Delta Hills Nephrology Clinics Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811764475 PECOS PAC ID: 4486098555 Enrollment ID: O20240216000527 |
| Mailing Address | Practice Location Address |
|---|---|
| Canon Jade Beissel, MD Po Box 1041, Grenada, MS 38902-1041 Ph: (662) 226-9866 | Canon Jade Beissel, MD 35 W Monroe St, Grenada, MS 38901-5222 Ph: (662) 226-8229 |
Joseph Frank Roberts, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1117 Sunset Dr, Suite 101, Grenada, MS 38901 Phone: 662-226-1168 Fax: 662-226-1116 | |
Dr. John Edward Seibel Jr., MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste W, Grenada, MS 38901 Phone: 901-767-3123 Fax: 901-767-3884 | |
Joseph S Messina Jr., MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Drive, Suite A, Grenada, MS 38901 Phone: 662-226-1646 Fax: 662-226-1646 | |
Dr. Justice Aaron Gondwe, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 965 J K Avent Dr, Suite 106, Grenada, MS 38901 Phone: 662-227-6450 Fax: 662-227-6452 |